Provider Demographics
NPI:1386746949
Name:PALES, ELINA V (DO)
Entity type:Individual
Prefix:
First Name:ELINA
Middle Name:V
Last Name:PALES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13111 E BRIARWOOD AVE
Mailing Address - Street 2:#370
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3930
Mailing Address - Country:US
Mailing Address - Phone:720-441-4410
Mailing Address - Fax:888-474-7158
Practice Address - Street 1:13111 E BRIARWOOD AVE
Practice Address - Street 2:#370
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3930
Practice Address - Country:US
Practice Address - Phone:720-441-4410
Practice Address - Fax:888-474-7158
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO470802084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1352310495OtherBCBS
1124463161OtherEMPLOYER NPI
MI4921071Medicaid
I58598Medicare UPIN